2013 – 2014 Youth Travel Soccer Tryouts

Player’s Full Name:

Player’s Full Address, City, Zip:

Date of Birth: Please Circle: BOY GIRL

Did you play for EUSA in Spring 2013? YES NO TEAM NAME:

If Yes, what Division? Circle one: MICRO REC INTER-COUNTY TRAVEL

If No, where and for whom did you play?

How many years have you played soccer?

Player/Parent Agreement: I wish to participate with EUSA on a competitive travel soccer team and I am willing to commit to a practice schedule of two times per week plus a 10 game season each in the fall and spring. If selected to a team, registration fees for are non-refundable. Players are selected by the club based on their demonstrated skill, stamina and competitive spirit. Absolutely no changes in team placement will be made. No refunds will be made after team placement occurs. EUSA reserves the right to refund registration fees in the event an insufficient number of coaches volunteer and/or insufficient number of players tryout at a particular age group.

Consent/Waiver: Recognizing the possibility of physical injury associated with soccer, the undersigned, individually and or acting through his parent or legal guardian on his/her behalf, in consideration of acceptance into Edison United Soccer Association, and participation therein, agrees to waive any right, legal or equitable, to claim damages for any loss to person or property occasioned by participation in such programs and further agrees not to hold Edison United Soccer Association, it officers, agents, servants, employees or sponsors liable in any way, measure or form for the payments of such damages, and does hereby release the said persons from liability on the account of any injury to person or property.

In consideration of the Edison United Soccer Association permitting me to participate in all activities related to said club, including, but not limited to, trying out, practicing/participating in said club, the undersigned, individually and/or acting through his parent or legal guardian on his behalf hereby assume all of the risks associated with participation and agrees to hold collectively and individually, it’s employees, agents, representatives, medical personnel, coaches, volunteers, including managers and trainers, harmless for any and all liability actions, causes of actions, debts, claims or demand of any kind of nature whatsoever, which may arise by or in connection with my participation in any activities related to Edison United Soccer Association. The terms hereof shall serve as a release and assumption of risk for my heirs, estate, executor, administrators, assignees, and for all members of my family. The undersigned, individually and/or collectively and/or acting through his parent or legal guardian on his behalf specifically acknowledges that soccer is a CONTACT SPORT which involves risk of injury. The undersigned also agrees to assume all financial responsibility for any and all medical treatment for his/her child.

Signed (Parent): ______Date: ______

Signed (Player): ______Date:______